Pediatric Inflammatory Bowel Disease: Special Considerations

Surg Clin North Am. 2019 Dec;99(6):1177-1183. doi: 10.1016/j.suc.2019.08.008. Epub 2019 Sep 23.

Abstract

Pediatric inflammatory bowel disease may present differently than adult onset disease. It is important to consider a broader differential diagnosis in very early onset disease. Diagnostic and treatment decisions must consider the long term risks and benefits over a lifetime. Surgical triggers in children may include impaired growth and inability to wean from steroids in addition to standard adult indications. Effective transition of care to adult providers is a key to prevent flares and loss of follow-up.

Keywords: Pediatric Crohn’s disease; Pediatric IBD–unclassified; Pediatric inflammatory bowel disease; Pediatric ulcerative colitis; Very early onset IBD (VEOIBD).

Publication types

  • Review

MeSH terms

  • Adolescent
  • Age Factors
  • Child
  • Child, Preschool
  • Colitis, Ulcerative / diagnosis
  • Colitis, Ulcerative / therapy
  • Conservative Treatment / methods*
  • Crohn Disease / diagnosis
  • Crohn Disease / therapy
  • Female
  • Humans
  • Inflammatory Bowel Diseases / diagnosis*
  • Inflammatory Bowel Diseases / therapy*
  • Male
  • Pediatrics
  • Prognosis
  • Recurrence
  • Risk Assessment
  • Severity of Illness Index
  • Treatment Outcome